| Clinical Research of a Modified Midfacial Degloving in a Maxillectomy （with a Report of a Typical Case） |
| |
| 作者单位： | Yuanqing Zhao1 Jialiang Guo1 Yongtuan Li2 1 Department of Otolaryngology-Head and Neck Surgery，Tianjin Teda Hospital，Tianjin 300457，China. 2 Department of Otolaryngology-Head and Neck Surgery，Qingdao Municipal Hospital，Qingdao 266011 Shandong Province，China. |
| |
| 摘 要： | OBJECTIVE To investigate the feasibility of employing a modified midfacial degloving in maxillectomy. METHODS Eight patients with carcinoma of the maxillary sinus underwent a modified midfacial degloving operation.The tumors were classified according to the 2002 AJCC system.The TNM staging of the cases was as follows:1 T4aN0M0,2 T3N0M0 and 5 T2N0M0.Of the 8 cases,1 patient underwent extended maxillectomy;exenteration of the orbit;tumorectomy of the sphenomaxillary and infratemporal fossae.Two patients received a total maxillectomy,and 5 a partial resection of the maxilla. Postoperative pathological report:4 well-di?erentiated squamous carcinoma,2 moderately-differentiated squamous carcinoma,1 mucoepidermoid carcinoma and 1 adenoid cystic carcinoma. RESULTS A modified midfacial degloving operation can sufficiently expose a field of operation,resect the tumor within a safe margin,and leave no facial cicatricles.One patient died of intracranial metastasis 8 months a er operation.We observed no recurrences or metastasis in other patients during the period of follow-up. CONCLUSION The major advantages of employing the modified midfacial degloving in maxillectomy is that a facial incision can be avoided.It has an advantage of minimal invasive surgery.
|
| 关 键 词： | 上颌骨肿瘤 外科学 手术治疗 面部修复 |
Clinical research of a modified midfacial degloving in a maxillectomy (with a report of a typical case) |
| |
| Authors: | Yuanqing Zhao Jialiang Guo and Yongtuan Li |
| |
| Institution: | [1]Department of Otolaryngology-Head and Neck Surgery, Tianjin Teda Hospital, Tianjin 300457, China. [2]Department of Otolaryngology-Head and Neck Surgery, Qingdao Municipal Hospital, Qingdao 266011 Shandong Province, China. |
| |
| Abstract: | OBJECTIVE To investigate the feasibility of employing a modified midfacial degloving in maxillectomy. METHODS Eight patients with carcinoma of the maxillary sinus underwent a modified midfacial degloving operation.The tumors were classified according to the 2002 AJCC system.The TNM staging of the cases was as follows:1 T4aN0M0,2 T3N0M0 and 5 T2N0M0.Of the 8 cases,1 patient underwent extended maxillectomy;exenteration of the orbit;tumorectomy of the sphenomaxillary and infratemporal fossae.Two patients received a total maxillectomy,and 5 a partial resection of the maxilla. Postoperative pathological report:4 well-di?erentiated squamous carcinoma,2 moderately-differentiated squamous carcinoma,1 mucoepidermoid carcinoma and 1 adenoid cystic carcinoma. RESULTS A modified midfacial degloving operation can sufficiently expose a field of operation,resect the tumor within a safe margin,and leave no facial cicatricles.One patient died of intracranial metastasis 8 months a er operation.We observed no recurrences or metastasis in other patients during the period of follow-up. CONCLUSION The major advantages of employing the modified midfacial degloving in maxillectomy is that a facial incision can be avoided.It has an advantage of minimal invasive surgery. |
| |
| Keywords: | maxilla neoplasm surgery operation midfacial degloving operation maxillectomy |
| 本文献已被 CNKI 维普 SpringerLink 等数据库收录！ |
